Obstetric and gynaecological surgery, antibacterial prophylaxis Flashcards
Q: What is the recommended antibacterial prophylaxis for a Caesarean section?
A: Single dose of i/v** cefuroxime**. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for a Caesarean section?
A: Up to 30 minutes before the procedure.
Q: What should be used as a substitute for i/v cefuroxime if there’s a history of allergy to penicillins or cephalosporins?
A: i/v clindamycin.
Q: When should i/v teicoplanin (or vancomycin) be added for Caesarean section, and why?
A: If there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended antibacterial prophylaxis for a hysterectomy?
A: Single dose of i/v cefuroxime + i/v metronidazole, i/v gentamicin + i/v metronidazole, or i/v co-amoxiclav alone. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for a hysterectomy?
A: Up to 30 minutes before the procedure.
Q: What should be used for a hysterectomy if there’s a high risk of meticillin-resistant Staphylococcus aureus?
A: A single dose of i/v gentamicin + i/v metronidazole, or i/v teicoplanin (or vancomycin) can be added to other regimens.
Q: What alternative administration method for i/v metronidazole is suggested, and when should it be given?
A: It may alternatively be given by suppository, 2 hours before surgery, to allow for adequate absorption.
Q: What is the recommended antibacterial prophylaxis for termination of pregnancy?
A: Single dose of oral metronidazole. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: What should be given postoperatively if genital chlamydial infection cannot be ruled out in the case of termination of pregnancy?
A: Doxycycline.
These flashcards can help you remember the key points for antibacterial prophylaxis in obstetric and gynecological surgery.
Q: What is the recommended antibacterial prophylaxis for a Caesarean section?
A: Single dose of i/v cefuroxime. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for a Caesarean section?
A: Up to 30 minutes before the procedure.
Q: What should be used as a substitute for i/v cefuroxime if there’s a history of allergy to penicillins or cephalosporins?
A: i/v clindamycin.
Q: When should i/v teicoplanin (or vancomycin) be added for Caesarean section, and why?
A: If there is a high risk of meticillin-resistant Staphylococcus aureus.
Q: What is the recommended antibacterial prophylaxis for a hysterectomy?
A: Single dose of i/v cefuroxime + i/v metronidazole, i/v gentamicin + i/v metronidazole, or i/v co-amoxiclav alone. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: When should intravenous antibacterial prophylaxis be administered for a hysterectomy?
A: Up to 30 minutes before the procedure.
Q: What should be used for a hysterectomy if there’s a high risk of meticillin-resistant Staphylococcus aureus?
A: A single dose of i/v gentamicin + i/v metronidazole, or i/v teicoplanin (or vancomycin) can be added to other regimens.
Q: What alternative administration method for i/v metronidazole is suggested, and when should it be given?
A: It may alternatively be given by suppository, 2 hours before surgery, to allow for adequate absorption.
Q: What is the recommended antibacterial prophylaxis for termination of pregnancy?
A: Single dose of oral metronidazole. Additional doses may be given for prolonged procedures or if there is major blood loss.
Q: What should be given postoperatively if genital chlamydial infection cannot be ruled out in the case of termination of pregnancy?
A: Doxycycline.
These flashcards can help you remember the key points for antibacterial prophylaxis in obstetric and gynecological surgery.
